早期母乳喂养促进有效养育:中东冲突国家的分析研究

A. Al-Jawaldeh, A. Abul-Fadl, Hanin Al-Jawaldeh
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引用次数: 2

摘要

背景:母乳喂养是每个孩子的养育和营养,但它对养育子女的影响程度是有争议的。目的:探讨早期母乳喂养对儿童纪律和儿童保育的影响。方法:对来自4个国家52个省的全球数据进行分析。数据包括:在第一个小时和第一天早期开始母乳喂养[EIBF],提供泌乳前,纯母乳喂养[EBF]和持续母乳喂养[CBF]。养育方式包括1-14岁儿童遭受心理攻击和体罚以及对体罚的态度。儿童保育指数包括儿童独自留下,照顾不到10岁的儿童和照顾人员不足。进行相关研究和描述性统计分析。结果:出生1 h内EBI与非暴力管教显著相关[r0.5] p0.05。EBF与心理[r-0.5]、轻微体罚[r-0.4]和过去一周独处[r-0.5]呈负相关(P0.05)。各国之间在养育方式和与母乳喂养模式有关的儿童保育是否充足方面存在差异。结论:母乳喂养可以防止暴力的养育方式,并提高儿童保育的充分性。暴露于麻醉下的手术分娩可能会干扰EIBF并对养育子女产生负面影响。
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Early Breastfeeding Practices Promote Effective Parenting: An Analytical Study in Countries exposed to Conflict in the Middle East
Background: Breastfeeding is nurture and nutrition for every child, but the extent to which it influences parenting is controversial. Aim: To examine the effect of early breastfeeding practices in relation to child discipline and childcare. Methods: Global data from was examined from 52 provinces in four countries. The data included: early initiation of breastfeeding [EIBF] in the first hour and the first day, offering prelacteals, exclusive breastfeeding [EBF] and continued breastfeeding [CBF]. Parenting practices included exposure to psychological aggression and physical punishment and attitudes to physical punishment for rearing in children 1-14 years. Childcare indices included child left alone, with care of a child less than 10 years and with inadequate caregiver. Correlative studies and descriptive statistical analysis were done. Results: EBI within the first hour of birth was significantly correlated with non-violent discipline [r0.5] P 0.05. EBF inversely correlated with psychological [r-0.5] and minor physical punishment [r-0.4] and being left alone in the past week [r-0.5] at P<0.05. Longer duration of breastfeeding for 12 and 24 months correlated inversely with severe physical punishment [r-0.6 at P<0.01 and r-0.5 at P<0.05 respectively]. CBF for two years was also negatively correlated with being left alone [r0.5 at P>0.05]. Variations between countries in parenting styles and adequacy of childcare related to breastfeeding patterns. Conclusions: Breastfeeding is protective against violent parenting styles and enhances adequacy of childcare. Exposure to operative delivery with anesthesia may interfere with EIBF and negatively influence parenting.
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